Mr William Sullivan Bourquard, MD - Pediatrics in Boise, ID

Mr William Sullivan Bourquard, MD is a Pediatrics physician based in Boise, Idaho. Mr William Sullivan Bourquard is licensed to practice in Idaho (license number M5223) and his current practice location is 6148 N Discovery Way, Ste 100, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 322-5437.

NPI number for Mr William Sullivan Bourquard is 1568451193 and his current mailing address is 6148 N Discovery Way, Ste 100, Boise, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568451193.

Contact Information

Mr William Sullivan Bourquard, MD
6148 N Discovery Way, Ste 100,
Boise, ID 83713-0201
(208) 322-5437
(208) 322-4638

Map and Direction




Physician's Profile

Full NameMr William Sullivan Bourquard
GenderMale
SpecialityPediatrics
Location6148 N Discovery Way, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568451193
  • Provider Enumeration Date: 10/17/2005
  • Last Update Date: 05/19/2022

Medical Identifiers

Medical identifiers for Mr William Sullivan Bourquard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568451193NPI-NPPES
003597000MedicaidID
000010006127OtherIDBLUE SHIELD
52233OtherIDBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics M5223 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr William Sullivan Bourquard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr William Sullivan Bourquard, MD
6148 N Discovery Way, Ste 100,
Boise, ID 83713-0201

Ph: (208) 322-5437
Mr William Sullivan Bourquard, MD
6148 N Discovery Way, Ste 100,
Boise, ID 83713-0201

Ph: (208) 322-5437

Reviews and Comments


Pediatrics Doctors in Boise, ID

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